Federal inspection record · CMS data as of October 1, 2026
Osage Rehab and Health Care Center
830 South Fifth Street, Osage, IA · (641) 732-5520
- Certified beds
- 46
- Residents per day
- 25
- Ownership
- For-Profit
- Chain
- Campbell Street Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 9, 1992
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Osage Rehab and Health Care Center carries 103.75 inspection points. That is fewer than 15% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
44 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Everything else, by area of care
Resident Assessment and Care Planning15D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- B
Ensure each resident receives an accurate assessment.
Resident Rights6E
- D
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Ensure that residents are fully informed and understand their health status, care and treatments.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Quality of Life and Care6D
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services4F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D
Post nurse staffing information every day.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation3F
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Administration3D
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- D
Help the resident with transportation to and from laboratory services outside of the facility.
- B
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2025-12-22
16 health deficiencies · 17 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
2024-11-14
13 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-08-30
15 health deficiencies · 15 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 47 min of it from a registered nurse.
This home
3 h 47 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 70% of nursing staff and 86% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$14,433 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-22 | Payment Denial · 9 day denial | $0 |
| 2025-02-28 | Payment Denial · 34 day denial | $0 |
| 2024-07-17 | Fine | $14,433 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.8 pts better | 99.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.5 pts worse | 92.3% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.9 pts better | 1.0% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 5.0% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication17.8 pts worse | 38.8% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.3 pts worse | 29.1% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.9 pts worse | 2.1% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.5 pts worse | 17.7% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.7 pts better | 12.9% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 1.2% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.3 pts better | 2.1% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.5 pts better | 20.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.2 pts worse | 8.3% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1 pts worse | 83.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication7 pts worse | 9.1% | 2.1% | 1.5% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 5v+ Seniors Healthcare Fund Gp, LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| 5v+ Seniors Healthcare Fund, LP | Adp Of The SNF · Organization | 0% | 6 facilities |
| Acd Consolidated LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Bear Creek Sraf Gp Holdings LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Bear Creek Strategic Real Assets Fund LP | Adp Of The SNF · Organization | 0% | 8 facilities |
| Birchwood Healthcare Partners LLC | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Campbell Street Ia 10 LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Campbell Street Ia 10 LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Campbell Street Services LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Campbell Street Services LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Defranco Investment Co Ltd | Adp Of The SNF · Organization | 0% | 8 facilities |
| Dole, Isaac | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Dole, Isaac | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Holdco, Ia, 10, LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Iaga SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Iaga SNF Osage LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Iaga SNF Portfolio LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Nap Holdings LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
·
Fire safety
44 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Provide properly protected cooking facilities.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Emergency Preparedness10F
- F
List the names and contact information of those in the facility.
- F
Establish emergency prep training and testing.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Address subsistence needs for staff and patients.
- F
Conduct testing and exercise requirements.
- F
Address subsistence needs for staff and patients.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Gas, Vacuum, and Electrical Systems9F
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
- D
Have proper medical gas storage and administration areas.
Egress7F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services2E
- E
Install properly constructed and protected linen or trash chutes.
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
-
Faith Lutheran Home
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 22 min
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-
Good Samaritan - Saint Ansgar
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- Nursing / resident / day
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-
Stacyville Community Nursing Home
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